PAWS Spay & Neutering Application Application for Suquamish Tribal Members to get free spay & neutering for their pets from PAWS. Pet Owner Name(Required) First Last Email Phone(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code Age of Head of Household(Required)Please enter a number less than or equal to 99.Number of people in household(Required)Please enter a number less than or equal to 99.Pet Name(Required) First Age of pet(Required)Cat or Dog?(Required) Cat Dog Sex of Pet(Required) Male Female Estimated weight of pet(Required) Color/Breed(Required) How long have you owned this pet?(Required) Have you ever received financial assistance from PAWS?(Required) Yes No What year? PAWS works with a network of veterinary clinics. Has your pet ben seen by vet before?(Required) Yes No Clinic/Vet Name Agreement(Required) I have read and agree to the following:For value received, I/we the owner(s) of the above-designated cat or dog, do hereby fully and completely release and discharge PAWS of Bainbridge Island and North Kitsap and all persons, agents, employees, directors and officers thereof and/or on its behalf liable from and against any and all actions, causes of action, claims, demands, assertions, contentions, suits, damages, expenses and losses of any kind and description which in any manner pertain to, concern, involve or relate to the spaying or neutering of my/our pet, including such pet’s death or injury, and I/we agree to indemnify and hold harmless all entities and persons being released here under from and against any and all actions, causes of action, claims, demands, assertions, contentions, suits, damages, expenses, and losses resulting from the foregoing activities. By my signature below I certify the following: • I understand that PAWS of Bainbridge Island and North Kitsap’s Spay/Neuter Partnership with the Suquamish Foundation is for Suquamish Tribal Members who are pet owners. • I understand that PAWS Assistance is limited to funding available. • I understand that the information provided on this application is subject to verification prior to approval. • I understand that Spay/Neuter Assistance is provided only for owned pets (for feral cat assistance email marylou@pawsbink.org or call 206-842-2451 x3) • The information provided with this application is accurate and complete. • I will provide PAWS with updates, and photos/video if assistance is provided.I affirm all of the information provided is true and accurate(Required) Type full name hereSuquamish Tribal Enrollment Number(Required)
